In Parliament

(a) whether the National Family Health Survey report released during 2016 has highlighted that the population in many districts of the country including Madhya Pradesh are facing malnutrition, if so, the details thereof;

(a): As per the National Family Health Survey (NFHS)-4 (2015-16), 35.7 per cent children below five years are underweight, 38.4 per cent are stunted and 21 per cent are wasted in the country. In the State of Madhya Pradesh 42.8 per cent children below five years are underweight, 42 per cent are stunted and 25.8 per cent are wasted.

The indicator “Children under 5 years who are underweight (weight-for-age)” is one of the composite indicator for child malnutrition. As per NFHS-4 data, the national average of children under 5 years who are underweight has reduced from 42.5% as reported in NFHS-3(2005-06) to 35.7% in NFHS-4(2015-16) and in the State of Madhya Pradesh during the same period, underweight children under 5 years has gone down from 60%(NFHS-3) (2005-06) to 42.8%(NFHS-4). Further in the State of Madhya Pradesh the districts Barwani & Sheopur have reported highest (55%) of children under 5 years who are underweight during 2015-16 (NFHS-4).

A statement containing the percentage of stunted, wasted and underweight Children under 5 years, State/UT/Districts wise from NFHS-4 (2015-16) is enclosed at Annexure-I.

(b) the number of persons who lost their lives due to malnutrition in various districts of the country including Madhya Pradesh in the last three years, district wise and year-wise; (c) whether the State Governments have failed in addressing the malnutrition deaths, if so, the details thereof; and

(b) & (c): Report on Medical Certification of Cause of Death (MCCD) gives statistics on Cause of death obtained through Civil Registration System under Registration of Births and Deaths Act 1969. It is published annually by Registrar General & Census Commissioner of India. As per MCCD, State-wise number of people who lost their life due to malnutrition for the period of 2013-2015 are enclosed at Annexure-II.

(d): Central governments have initiated various programs like MAA (Mothers Absolute Affection) to promote exclusive breast feeding; Pradhan Mantri Surakshit Matritva Abhiyan; and issued the following guidelines to the state governments including Madhya Pradesh to combat the challenges of malnutrition in the country.

i. Operational Guidelines on Facility Based Management of Children with Severe Acute Malnutrition (SAM).

ii. Guidelines for Management of Severe Acute Malnutrition (SAM) Children at Nutrition Rehabilitation Centre (NRC).

iii. Central government have also issued guidelines on India Newborn Action Plan (INAP) to all the state governments.

iv. National guidelines for enhancing optimal Infant and Young Child Feeding (IYCF) practices.

v. Operational guidelines on Home Based Newborn Care (HBNC) and Facility Based Newborn Care (FBNC).

(a) whether the Government is aware that the ambitious Mahatma Gandhi National Rural Employment Guarantee Scheme (MGNREGS) which seeks to guarantee 100 days of employment to every rural household in the country each year has provided only a few average days of employment during 2014-15, 2015-16 and 2016-17; (b) if so, the facts and the details thereof;

MINISTER OF STATE IN THE MINISTRY OF RURAL DEVELOPMENT (SHRI RAM KRIPAL YADAV)

(a) & (b): Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA) is a demand driven programme which mandates to provide at least 100 days of guaranteed wage employment in a financial year to every rural household whose adult members volunteer to do unskilled manual work. State/UTs-wise average days of employment provided per household during financial year 2014-15, 2015-16 and 2016-17 are given at Annexure.

(c) whether the Government has since conducted any analysis to ascertain the factors responsible due to which the jobs could not be provided as mandated under the Act; (d) if so, the details in this regard; and

(c) & (d): MGNREGA workers are mainly engaged in agricultural and allied activities. The demand for work itself is influenced by various factors such as rain-fall pattern, availability of alternative and remunerative employment opportunities outside MGNREGA and prevailing unskilled wage rates.

(e) the steps taken/being taken by the Government to make the scheme successful and effective?

(i) to initiate appropriate Information Education and Communication (IEC) campaigns including wall paintings for wide dissemination of the provisions of the Act.

(ii) to organise Rozgar Divas periodically to capture latent demand under the programme and to disseminate awareness about other provisions of the Act.

(iii) to prepare plans in a participatory mode and approve them in Gram Sabha.

(iv) to prepare realistic labour budget by the State.